EX-BW5

Extra point · Back

Lower Pole Shu

下极俞Xià Jí Shù

Anatomical location

Below the spinous process of L3, on the midline.

Same point as CP71 · Xià Jí Shū — Curious Points catalog

Main function

Strengthens the Kidney and the lower back.

Therapeutic indications

  • Low back pain
  • urinary disorders
  • diarrhea

Name and classical tradition

Xiajishu, 下极俞, is the “Shu of the lower pole”: 下极 (下極) is the lowest part of the trunk; 俞, the transport point. It lies on the midline, below the third lumbar vertebra. It should be distinguished from the 下極 of the Nanjing (Classic of Difficulties), which in Difficulty 28 is the place where the Du Mai arises, at the base of the spine.

The Qianjin Yaofang (Essential Prescriptions Worth a Thousand Gold) already mentions it in chapter 20 with its indication: “腹疾腰痛,膀胱寒飲注下,灸下極俞,隨年壯” — for abdominal complaints, lumbar pain, and Cold in the bladder with diarrhea, as many cones as the patient has years. The text does not give its location in that passage.

Location of point EX-BW5, Lower Pole Shu
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View point on the 3D modelEX-BW5 on the anatomy
Needling techniquePerpendicular insertion.
Depth0.5-1 cun
MoxibustionApplicable.
PrecautionsNone in particular.
Cover of the guide “Protocols for the 20 most common patterns”

Free guide · PDF

Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use EX-BW5 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

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